Organization
EASTMAN DRUG COMPANY INC
Active
Other names
EASTMAN DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
IRVIN CHRISTENSEN (PRESIDENT)
(208) 547-3585
Entity
Organization
Contact information
Practice address
116 S MAIN ST, SODA SPRINGS, ID 83276-1428
(208) 547-3585
(208) 547-3585
Mailing address
116 S MAIN ST, SODA SPRINGS, ID 83276-1428
(208) 547-3585
(208) 547-3585
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1045RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001035100
—
ID
01
—
2020327
PK
—
Enumeration date
07/30/2006
Last updated
04/21/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up